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General NPI Number Information
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NPI Number | 1932206299
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Entity Type | Organization
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Legal Business Name | KATHRYN K. NAJAFIT-TAGOL, M.D.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4000 CIVIC CENTER DR STE. 210B
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City | SAN RAFAEL
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State | CA
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Zip | 94903-4171
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Country | US
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Telephone | 415-444-0300
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Fax | 415-444-0301
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Provider Business Mailing Address
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Address Line | 4000 CIVIC CENTER DR STE. 210B
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City | SAN RAFAEL
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State | CA
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Zip | 94903-4171
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Country | US
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Telephone | 415-444-0300
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Fax | 415-444-0301
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. KATHRYN K. NAJAFI-TAGOL
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Credential | M.D.
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Telephone | 415-444-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A68850
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License Number State | CA
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